Individual provider Active NPI

Anthony Jaden Basquine, MHR, LPC

  • Professional Counselor
  • Norman, OK
National Provider Identifier
1609274893
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5542 Issued in OK
Practice address
2500 McGee Dr Ste 126
Norman, OK 73072-6705
Phone
(405) 706-9269
NPI assigned
Dec 20, 2014
Last updated
Aug 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5542 OK Primary

Addresses

Primary practice location

2500 McGee Dr Ste 126
Norman, OK 73072-6705

Mailing address

2500 McGee Dr Ste 126
Norman, OK 73072-6705
Phone (405) 706-9269

Other practice location 1

9212 N Kelley Ave
Oklahoma City, OK 73131-2419
Phone (405) 242-5070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Virginia, Inc. Past Accepting new patients
Advanced Therapy Associates, LLC PastSince Feb 1, 2017 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1609274893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MCGEE DR STE 126",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730726705",
            "telephone_number": "405-706-9269",
            "fax_number": "405-535-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MCGEE DR STE 126",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730726705",
            "telephone_number": "405-706-9269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9212 N Kelley Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731312419",
            "country_code": "US",
            "telephone_number": "405-242-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASQUINE",
        "first_name": "ANTHONY",
        "middle_name": "JADEN",
        "credential": "MHR, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-20",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "5542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.